| NPI | 1881255420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344551-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 344551) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-07-03 |